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. 2023 Nov 16;13:1251355. doi: 10.3389/fonc.2023.1251355

Table 3.

Comparative immune and metabolic changes in cancer and helminth infections.

Cancer Helminths
Main immune alteration Immunosuppression
Immune evasion
Modified Th2 response
Immune evasion
Main immune cells involved -Cytotoxic T lymphocytes (CD8+)
-TAMs
-T regs
-Th2 cells
-M2 polarization
-Tregs
Immunometabolic landmarks -Nutrient deprivation (glucose and amino acids)
-Warburg effect
-Lactate production (generation of acidic TME)
-Interaction with host lipid metabolism
-Stimulation of FAO, OXPHOS in immune effector cells
-Nutrient deprivation (glucose and glutamine)
-Interference with mTOR and other anabolic pathways
-Interaction with host lipid metabolism
-Stimulation of FAO, OXPHOS in immune effector cells
Net effects of immunometabolic alterations -Immune tolerance against the tumor
-Downregulation of immune surveillance
-Tumoral growth, invasion and metastasis
-Immune modulation
-Generation of an anti-inflammatory, tolerogenic microenvironment
-Nutrient availability for parasite development and reproduction